Individual
DR. MARK C CARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4210 FAIRFAX CORNER WEST AVE, SUITE 240, FAIRFAX, VA 22030
(703) 968-4300
(703) 968-6712
Mailing address
4210 FAIRFAX CORNER WEST AVE, SUITE 240, FAIRFAX, VA 22030-8619
(703) 968-4300
(703) 968-6712
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006175
VA
Other
Enumeration date
01/08/2007
Last updated
06/26/2018
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